Birch Healthcare Center
62 Rochester Hill Road, Rochester, NH 03867 · Strafford County · 79 certified beds · avg 69 residents/day · certified since Feb 12, 1997
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Apr 16, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 8, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (10)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 18, 2025 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Sep 18, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Sep 18, 2025 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Aug 29, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Aug 29, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 16, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jul 26, 2023 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jul 26, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jul 26, 2023 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jul 26, 2023 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | D |
| 2024 | 3 | 1 | G ▲ |
| 2025 | 3 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $10,655.
| Date | Type | Amount / length |
|---|---|---|
| Apr 16, 2024 | Fine | $10,655 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | New Hampshire avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.03 | 4.11 | 3.95 | bottom 11% in New Hampshire; bottom 15% in the U.S. |
| Registered Nurse hours | 0.50 | 0.82 | 0.69 | bottom 7% in New Hampshire; bottom 37% in the U.S. |
| Weekend total nurse staffing | 2.83 | 3.67 | 3.50 | bottom 21% in New Hampshire; bottom 22% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.45 | 0.55 | 0.48 | bottom 38% in New Hampshire; top 40% in the U.S. |
| Total nursing staff turnover (%) | 47.6 | 44.1 | 45.8 | bottom 33% in New Hampshire; bottom 43% in the U.S. |
| RN turnover (%) | 55.6 | 40.9 | 42.9 | bottom 20% in New Hampshire; bottom 28% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.52, RN 0.57, weekend 3.28. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Aggcp LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/20/2026 |
| Black Mountain II LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 01/20/2026 |
| Goldstein, Avrohom | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/20/2026 |
| Halberstam, Miriam | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/20/2026 |
| Halberstam, Moshe | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/20/2026 |
| Kamna Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/19/2020 |
| Nhoc LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 11/19/2020 |
| PR NH Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 01/20/2026 |
| RR NH Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 01/20/2026 |
| White Mountain Peak Healthcare LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/19/2020 |
| WMP HC LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/19/2020 |
| WMP Holdco LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 11/19/2020 |
| 603 Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/15/2025 |
| 603 Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2026 |
| Aggcp LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/19/2020 |
| Kansas SNF Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/19/2020 |
| Mad Family Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/19/2020 |
| Natr Trust | Organization | ADP of the SNF | NOT APPLICABLE | 11/19/2020 |
| PR NH Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/20/2026 |
| Rarmna Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/19/2020 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you explain health changes and treatment options to residents and their families?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Rochester Manor | 0.3 mi | Rochester, NH | ★★☆☆☆ | 2/5 | |
| Riverside Rest Home | 5.2 mi | Dover, NH | ★★★★★ | 4/5 | |
| Dover Center for Health & Rehabilitation | 6.4 mi | Dover, NH | ★★★★☆ | 4/5 | |
| Langdon Place of Dover | 9.1 mi | Dover, NH | ★★★★★ | 4/5 | |
| Pinnacle Health & Rehab at N Berwick | 10.8 mi | North Berwick, ME | ★★★★★ | 5/5 | |
| Saint Ann Rehabilitation and Nursing Center | 11.3 mi | Dover, NH | ★★★★☆ | 4/5 | |
| Pinnacle Health & Rehab at Sanford | 13.3 mi | Sanford, ME | ★★★★★ | 5/5 | |
| Summer Commons | 14.2 mi | Sanford, ME | ★★★★★ | 4/5 | |
| Durgin Pines | 16.9 mi | Kittery, ME | ★★★★★ | 5/5 | |
| Edgewood Centre (the) | 18.6 mi | Portsmouth, NH | ★★★☆☆ | 3/5 | |
| Cedar Healthcare Center | 18.9 mi | Portsmouth, NH | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 305081.